Chapter 102: Prevarication
Early the next morning.
Zuo Li walked into the venue with medical records and record books.
He came early, he didn't want to let people gossip about the arrival of the meeting, after all, he was the youngest in seniority, and if he was late when all the big directors arrived, it would be time for people to speak again.
Unexpectedly, when he entered the venue, Chen Tianming had already arrived first, and was sitting in his seat looking at him with a smile.
Zuo Li smiled and nodded at her, but he didn't know where he was, because there were no cards on the table.
Chen Tianming said: "This is an expert consultation committee, and every member is equal, so I don't put up a sign and sit casually." Except for the middle one, which is the dean's. ”
Hearing this, Zuo Li walked up to her and sat down.
Chen Tianming blushed slightly, and said in a low voice: "You're not afraid that others will laugh at you?" ”
Zuo Li asked knowingly: "What are you laughing at me?" ”
Chen Tian understood him and ignored him, but his heart was secretly happy.
The committee members arrived one after another, and the last to enter the venue was President Gu Zhijie.
He personally presided over the meeting, which shows the importance he attaches to the work of the Committee.
He said to Director Zheng of the emergency department: "You introduce the condition, and then everyone will express their opinions." ”
Director Zheng said: "The 72-year-old patient, who had suffered from multiple cerebral infarctions for three years, was dizzy with gastric ulcers and severe anemia, and came to our hospital three months ago, but was not hospitalized, only outpatient treatment, and the effect was not clear. Four days ago, I came again and asked to be admitted to the emergency department. The patient had black stools for two days, and after our gastroscopy and other examinations, he was diagnosed with multiple cerebral infarction and upper respiratory tract bleeding. ”
"On the second day in the emergency department, his condition worsened, he was critically ill and was rescued in the ICU. The patient's family has been asking for hospitalization, but after our communication, all departments said that they could not accept it. In accordance with the rules of procedure of the expert consultation committee, and according to the decision of the leaders of the hospital in charge, it was submitted to the expert consultation committee for discussion today. ”
Gu Zhijie nodded: "Since all departments are unwilling to accept this patient, let's sit down and discuss, and determine which department is most suitable to pick up today." It is no longer possible to throw patients who are unwilling to be accepted to the TCM department as before, and treat the TCM department as an expert in receiving the pot, which is not good. Like other departments, the Department of Traditional Chinese Medicine is an important department of our three hospitals, and should only admit patients who are suitable for Chinese medicine treatment. Okay, now for the floor. ”
For a time, all the doctors attending the meeting lowered their heads and did not speak.
Seeing that everyone didn't speak, Gu Zhijie looked at Director Zheng and said, "Which departments do you contact with?" Tell me why people don't want to take it? ”
Director Zheng said: "The patient came to the emergency department with multiple cerebral infarctions and upper gastrointestinal bleeding, and the single condition was not very serious. We contacted the neurology department, but the neurology department said that they had full beds and a long queue of patients waiting to be admitted. Moreover, if the patient has severe anemia, he should still be admitted to the hematology department. However, the hematology department said that the patient had serious cerebrovascular accident symptoms, and the hematology department had nothing to do about it. If the anemia requires blood transfusion, the hematology department can treat it together, but it should not be directly admitted to the hematology department, and it is said that the patient has gastrointestinal bleeding, and since the neurology department is unwilling to admit it, it should be referred to the gastroenterology department. ”
"We contacted the Department of Gastroenterology. As a result, the Department of Gastroenterology also said that the beds were full, and that the patient had a serious cerebrovascular accident and anemia, and the Department of Gastroenterology could not cope with it. We also contacted other relevant departments to see if we could live in. Other departments have said various reasons, the main one is that the beds are too tight, there is no way to free up beds, and there is no power, and that's the way it is. ”
Gu Zhijie said: "Now, let's talk about it, who should take over this patient?" ”
In the face of this hot potato, it is no longer a question of the treatment of the disease itself, but a question of who will bear the blame, so the speeches of experts from various departments inevitably defend the department. After all, they are all experts in various departments, citing scriptures and classics, explaining the reasons why this patient should not be hospitalized in his own department.
After listening to what they said, Gu Zhijie's face was already full of gloom, and he looked at Chen Tianming: "What is your opinion?" ”
Chen Tianming said: "The main symptom of the patient is multiple cerebral infarction, which should be treated by the neurology department. But they also talked about the difficulties, and I think it may need to be coordinated by the hospital. ”
Sun Tao finally raised his hand, he is a famous cannon barrel, the dead pig is not afraid of boiling water, and he always speaks very impulsively, although he has been criticized several times at the big and small meetings, and this time he started to fire cannons again.
Sun Tao said: "Whoever takes the child away, this is the basic principle. This patient is either a neurology or a gastroenterologist, either of them can go next. I tend to be in the neurology department, and the bed problem can be overcome, but it really can't, so I can borrow a bed in another department, and their department will take care of the treatment, which is also okay. ”
"This disease is really difficult to treat, and everyone doesn't want to take it, for fear of affecting the income generation of their department. But I think we should put the patient first, revolutionary humanitarianism, and it is the duty of doctors to save lives and help the wounded. I think it's a shame for our doctors that the patient has been in the emergency department for four days and hasn't been admitted to the emergency department. If the hospital is reduced to a profit-making institution, drills into the eyes of money, and thinks of money and profit first in everything, instead of thinking about patients, it is the sadness of this department and this hospital. ”
Speaking of this, he turned his head to look at the two doctors in the neurology department and the gastroenterology department: "The directors of your two departments have not entered the expert consultation committee, and they are not here today, but whether they are or not, I will say this." You can also go back and tell them that this is my opinion Sun Tao! ”
He glanced at everyone very majestically, and sat back down.
The two doctors had this thought in their stomachs almost at the same time: standing and talking without back pain! You just threw a terminal cancer patient to the Chinese medicine department a few days ago to let the family take over the pot, why are you now dignified? Also revolutionary humanitarianism, pretending to be a big-tailed wolf!
I was very unhappy in my stomach, and my face was stupid, but I didn't want to argue with him.
Although Gu Zhijie also felt that Sun Tao typically did not have back pain when he stood and spoke, his words still aroused Gu Zhijie's approval. So he nodded and said, "I think Director Sun's opinion is right, if there are not enough beds in the neurology department, the patient can be placed in the gastroenterology department or other departments, and the neurology department will be the attending department, and the gastroenterology department will treat it together." Do others disagree? If not, we discuss the patient's specific treatment options. ”
Speaking of this, seeing that everyone didn't speak, their eyes fell on Zuo Li's body. He smiled slightly and said, "Zuo Li, do you have any opinions?" ”